Organization
MOUNTAINSIDE DENTAL GROUP
Active
Other names
Mountainside Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J KUDLA JR. DMD (DENTIST)
(908) 581-1571
Entity
Organization
Contact information
Practice address
1132 SPRINGFIELD AVE, MOUNTAINSIDE, NJ 07092-2906
(908) 581-1571
Mailing address
940 DUNHAM AVE, WESTFIELD, NJ 07090-2618
(908) 581-1571
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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